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TLU Awards Nomination Form

Please fill out the form below to make your nomination. If you would like to make more than one nomination, please submit one form at a time.

Nominee Information

Name of nominee:
Address:
Address (cont.):
City:        State:  
Zip Code:
Home Phone:
Work Phone:
Nominee should be considered for (check only one award name):
Distinguished Alumni
Distinguished Church Service Award
Distinguished Community Service Award
Distinguished Service Award
Outstanding Young Graduate Award
Educational background:
Secondary
 
 
Undergraduate
 
 
Graduate and other studies
 
 
Occupational data:
 

Church-related activities:
 

Community and volunteer service:
 

Special achievements, awards, citations:
 

Additional information or nominator's comments:
 


Nominator Information

Your Name:
Address:
Address (cont.):
City:        State:  
Zip Code:
Home Phone:
Work Phone:
E-mail Address:
 
Please click "Submit" only once. If you have problems with this form, e-mail us.
    

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